Janine Marie Divincenzo-Smith, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11009122 Issued in FL

Practice address

1603 S Hiawassee Rd Ste 130
Orlando, FL 32835-6439

Phone

(863) 224-5173

NPI assigned

Sep 15, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ridgewood Emergency Group, LLCGroup PAC ID 6305199597, 43 clinicians

Lake Wales Emergency Physicians, LLCGroup PAC ID 8022270461, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137
• Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janine.divincenzosmith.p1@direct.bondclinicpa.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Wales Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Lake Wales, FL
  • NPI 1033480405
  Medicare reassignment Care Compare group NPD
• Ridgewood Emergency Group, LLC

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1750862694
  Medicare reassignment Care Compare group NPD
• Bond Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1235641739
  Medicare reassignment NPD
• Dispatchhealth-Florida Inc.

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1407472723
  Medicare reassignment NPD
• Ridgewood Emergency Group, LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1679324842
  NPD
• Bond Clinic PA

  • Internal Medicine Physician
  • Winter Haven, FL
  • NPI 1881639193
  NPD (past)
• Dispatchhealth-Florida Inc.

  • Emergency Medicine Physician
  • Doral, FL
  • NPI 1154097491
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Polk North Inc

  • General Acute Care Hospital
  • Davenport, FL
  • NPI 1801457510
  Care Compare affiliation
• Adventhealth Polk South Inc

  • General Acute Care Hospital
  • Lake Wales, FL
  • NPI 1053972760
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1851906994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10746 W BEACH PKWY",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338988334",
            "telephone_number": "863-224-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 S HIAWASSEE RD STE 130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356439",
            "telephone_number": "863-224-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVINCENZO-SMITH",
        "first_name": "JANINE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Douglas Distler, HEARING SPECIALIST
• Sandra J Distretti, PA
• Mekdes Ditamo, D.O.
• Diverse Minds LLC
• Diversified Behavioral Health Services Inc.
• Divine Center of Hope of Orlando Inc
• Divine Consulting Services
• Divine Deliverance Therapy Services, LLC
• Divine Direction Online
• Divine Doula

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.